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What is the Difference Between Silicone, Saline, And Cohesive Gel Implants?

Women all over the globe are opting to have breast augmentation surgery

. Women who live within the United States currently have only two choices for the procedure: silicone gel implants and saline breast implants. If you live outside of the United States, more than likely you have a third option for your breast augmentation procedure: cohesive gel implants (also called "gummy bear" breast implants).

A lot of women wonder what the differences are between each implant. This article will discuss the major pros and cons of each.

Saline implants are considered the safest implant in the world. This is mostly because they are filled with a harmless saltwater solution that is very much like the fluids already found in the body. If a saline implant were to rupture, the saline solution would pose little to no threat to the body. Additionally, saline implants deflate very quickly when ruptured. A ruptured or leaking saline implant is easy to detect and allows a woman to seek corrective options as soon as possible.

Saline implants have only one major drawback: they don't move or feel like a real breast! Men and women unanimously agree that saline implants feel more like water balloons than actual breast tissue.


Silicone gel implants have a history of controversy that has caused major manufacturers to close their doors due to frivolous lawsuits. The controversy eventually led to the FDA banning the implant altogether for fourteen years. Despite the controversy and the ban, silicone gel implants are the most popular implant in the United States. Why? Because they move and feel like a real breast! Men and women both agree that silicone gel implants mimic a real breast much better than saline implants.

There are two major drawbacks to silicone gel implants. The first: their safety. Although the FDA has approved silicone gel implants for unrestricted use, their overall safety is still in question. The second drawback: when they rupture or leak, it is almost impossible to detect without the aid of an MRI. Even your plastic surgeon will not be able to detect most silicone gel ruptures. The reason why this is dangerous is because the silicone gel implant could be leaking for years before it is visually noticeable!

The third type of implant currently available is the cohesive gel implant. Despite the fact that this new implant has not been approved by the FDA, it is rapidly gaining popularity within the United States.

The primary benefits of cohesive gel implants are that they appear to be impervious to rupture and or leakage, and that they do not lose their shape over time. A cohesive gel implant is a solid piece of material; therefore it cannot leak because it does not contain any liquid! Early research suggests that these implants are highly resistant to the effects of aging and gravity.


Can you guess what is the number one drawback to cohesive gel implants? The answer: they aren't approved by the FDA! The Federal Drug Administration could take another five to fifteen years before they finally give their stamp of approval for this new implant.

Please do not interpret the information contained within this article as medical advice. You should only seek guidance from a licensed, board certified plastic surgeon who specializes in breast augmentation procedures.

What is the Difference Between Silicone, Saline, And Cohesive Gel Implants?

By: Joshua Gryphon
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What is the Difference Between Silicone, Saline, And Cohesive Gel Implants? Amsterdam